Reimbursement Analyst III

FALL CREEK FARM & NURSERY; San Antonio (TX); On-site; USD 57,000 - 93,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Job summary

The Texas Health and Human Services Commission (HHSC) seeks a Reimbursement Analyst III to support the SHARS program across LEAs. Travel up to 75% is required. This full-time, exempt role offers a competitive package with benefits and opportunities for advancement.

You will develop annual KPIs, review cost reports, advise on billing and reimbursement, and communicate complex policies to diverse stakeholders in a clear, actionable manner.

Qualifications

• Bachelor’s degree in a related field; experience may substitute.
• Experience with Medicaid, healthcare finance preferred.
• Experience with Salesforce preferred.

Responsibilities

• Attend regular, predictable work schedule per agency policy.
• Provide guidance to LEAs in SHARS program; travel within region.
• Develop KPIs to maximize federal reimbursement opportunities.
• Explain complex information to diverse stakeholders.
• Train providers on eligible billing and claim submissions.

Skills

Health policy understanding

Analytical skills

Communication skills

Problem solving

Project management

Interpersonal skills

Attention to detail

Education

Bachelor's degree

Tools

Salesforce

Job description

Posting ID19869-Posted08/10/2026-Health & Human Services Comm-HHS Provider Finance SHARS-Business and Financial Operations-c. $5000 - $6999 per month

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage .

Functional Title: Reimbursement Analyst III
Job Title: Reimbursement Analyst III
Agency: Health & Human Services Comm
Department: HHS Provider Finance SHARS
Posting Number: 19869
Closing Date: 09/09/2026
Posting Audience: Internal and External
Occupational Category: Business and Financial Operations
Salary Range: $5,098.66-$8,304.83
Pay Frequency: Monthly
Salary Group: TEXAS-B-23
Shift: Day
Additional Shift: None
Telework: Travel: Up to 75%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location: Job Location City: SAN ANTONIO
Job Location Address: 11307 ROSZELL
Other Locations: None
MOS Codes: No military equivalent

Essential Job Functions (EJFs):

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned

Provides technical guidance and support to LEAs participating in the School Health and Related Services (SHARS) program. Travels to all participating LEAs within an assigned geographic region throughout the year to provide in person consultation and guidance. Develops annual key performance indicators to assist LEAs in maximizing federal reimbursement opportunities as participants in the program. (45%)

Communicates complex information to LEA employed staff to provide, exchange, or verify information, answer inquiries, address issues or resolve problems or complaints. Interfaces with various contracted providers, provider representatives, client advocates, other agency staff, advisory committees, workgroups, attorneys, and other interested parties concerning the SHARS program. (25%)

Provides guidance and training to direct service providers regarding eligible billing and claim submission based on prior year cost reported data. (10%)

Develops and processes policy documents (including policy guidelines, agency rules, state plan amendments, council and advisory committee items, workgroup materials, and hearing other notices) relating to outreach and training for the SHARS program. (10%)

Performs other work as assigned or required to maintain and support the office and HHSC operations (10%)

Knowledge, Skills and Abilities (KSAs):

• Knowledge of health and human service programs, services, and procedures.
• Knowledge of accounting, business, and management principles, practices, and procedures.
• Knowledge of state and federal laws and regulations relating to Medicaid reimbursement and public administration.
• Knowledge of reimbursement methods and payment fees, formulas, and procedures.
• Knowledge of claims processing and/or cost report review and completion.
• Knowledge of Texas SHARS, Medicaid Administrative Claiming, Random Moment Time Studies, or other related programs.
• Skill in the review of cost reports and processing of payments.
• Skill in interpersonal relationships and in establishing and maintaining effective working relationships.
• Skill in problem solving, identification of issues and development of creative solutions
• Ability to analyze laws, regulations, program policies, and issues.
• Ability to develop, evaluate, implement, and interpret policies, procedures, and rules.
• Ability to use personal computers and to use word processing, spreadsheet, statistical, and other software to develop payment rates.
• Ability to exercise independent judgement, set priorities, meet deadlines, and adapt to shifting technical and political developments.
• Ability to manage projects effectively and produce quality work within short deadlines.
• Ability to train staff on policies and procedures related to job functions.
• Ability to lead other staff to accomplish department goals.
• Ability to communicate effectively both orally and in writing with a variety of agency staff, medical/provider associations, client advocates, legislative staff, lawyers, state/federal auditors, and interested parties on Medicaid reimbursement issues.
• Ability to prepare well-written briefing documents and reports designed to convey complex detailed concepts.

Registrations, Licensure Requirements or Certifications:

N/A

Initial Screening Criteria:

Graduation from an accredited four-year college or university with a bachelor’s degree in either social science; business, including accounting and statistics; economics; health-related field; political science; or other closely related field. Experience may be substituted on a year-for-year basis. Experience in/with Medicaid and/or healthcare finance preferred. Experience with Salesforce software preferred.

Additional Information:

This position requires 75% travel. The selected candidate must physically reside within or be willing to travel to the designated ESCs on a frequent and regular basis.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions .

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.